Medical Aid Physiotherapy in Centurion
Medical aid can feel like a foreign language. Here is a clear breakdown of how physiotherapy claims work in South Africa, and what to expect at the till after your session.
What most schemes actually cover
Most schemes cover physiotherapy from either day to day benefits, an above threshold benefit, or a specific chronic or PMB condition. Cover depends heavily on your plan and how much of your day to day benefit is still available.
How we submit claims
We submit claims electronically at the time of your visit at scheme rates. You are shown the outcome immediately so there are no surprises later.
When there is a shortfall
Some schemes pay below the recommended rate for physiotherapy. In those cases a small shortfall may be payable at the time. We show you the amount before you settle, and can offer EFT or card payment.
PMB and chronic conditions
Prescribed Minimum Benefits often cover post surgical, stroke and specific chronic conditions in full when the correct codes and pre authorisations are in place. Ask us to help you check before your first visit.
Related physiotherapy services
Frequently asked questions
Which medical aids do you accept?+
All major South African medical aids including Discovery, Momentum, Bonitas, Bestmed, GEMS, Medihelp and more.
Do I need pre authorisation?+
Usually only for hospital based or high volume outpatient care. Standard sessions typically do not require pre authorisation.
What if my day to day benefits are finished?+
You can still be seen. We will discuss cash rates and payment options with you upfront.
Medical disclaimer: this article is general education and does not replace a personal assessment. If your pain is severe, worsening, or accompanied by numbness, weakness or loss of bladder or bowel control, seek care promptly.
Book with N S Physiotherapy
In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.
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